Healthcare Provider Details

I. General information

NPI: 1326048836
Provider Name (Legal Business Name): EAR NOSE AND THROAT SPECIALISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2005
Last Update Date: 05/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3145 HAMILTON MASON RD SUITE 200
HAMILTON OH
45011-8557
US

IV. Provider business mailing address

3145 HAMILTON MASON RD SUITE 200
HAMILTON OH
45011-8557
US

V. Phone/Fax

Practice location:
  • Phone: 513-874-0990
  • Fax: 513-874-0998
Mailing address:
  • Phone: 513-874-0990
  • Fax: 513-874-0998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: NEIL HOWARD OKUM
Title or Position: PRESIDENT
Credential: M.D.
Phone: 513-874-0990